Wellness Box for Purpose: Shop & Earn Interest Form

Wellness Box for Purpose: Shop & Earn Interest Form
Thank you for your interest! This quick form helps me learn a little about your household needs so I can better serve you and see if this is a good fit. 💜
Full Name*
Best Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
City & State*
Type a question

Shopping smarterSafer productsWellness supportExtra incomeJust learning more
Which products do you regularly buy for your home?

Cleaning productsLaundry productsBath & body productsOral careVitamins/SupplementsSnacks/food itemsChildren’s productsOther
Do you or someone in your household have specific wellness concerns or sensitivities?*
You can list things like allergies, skin sensitivities, autoimmune concerns, children’s wellness needs, etc.
Are you mainly interested in:*

Shopping onlyShopping and earningLearning more first
Are you open to switching some of the products you already buy if they better fit your household needs?

YesMaybeNot right now
Are you ready for me to follow up with next steps?*

YesI have questions firstJust send information
Should be Empty: